Oral Health Improvement in HMP Shotts

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Oral Health Improvement in HMP Shotts

• Stephanie Campbell
• Health Promotion Officer
• (Oral Health)

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BACKGROUND

• Underlying determinants of poor oral health
• Prisoners have more decayed but fewer filled
  teeth and fewer natural teeth than the Scottish
  population
• Whole setting approach
• links with Health Promoting Prisons agenda

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INTRODUCTION

• Funded by Dental Action Plan
• Improving oral health as an integral part of
  health improvement but also identifies specific
  priority groups within general population, such
  as prisoners
• Partnership with HM Prison Shotts

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SETTING THE SCENE

• The prison environment
• Security
• Prisoner contact
• Publicity

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AIM

• To pilot a whole settings approach to improve
  oral health within HMP Shotts for staff,
  prisoners and their families.

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PROJECT PLANS

• Dental Referral
• Smoking and Mouth Cancer
• Health Promotion
• Induction
• Creating a Supportive Environment

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DENTAL REFERRAL IN HMP SHOTTS

• Self referral system
• Limited dental provision
• Extensive waiting list
• Development of statement of good practice in
  order to reduce the number of inappropriate
  referrals

• OUTCOME
• Increase in the number of routine treatments

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SMOKING AND MOUTH CANCER

• Mouth Cancer session now included in smoking
  cessation programme and delivered by Health
  Promotion Officer
• Mouth Cancer Action Month
• Cultural Awareness event

• OUTCOME
• Increased knowledge and understanding of risks of
  smoking and oral cancer

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HEALTH PROMOTION ACTIVITY

• Health input to all Father Child events
• National Smile Month
• Health Promotion notice board in Visits Waiting
  Room
• Body Composition event

• OUTCOME
• Improved oral health of prisoners, families and
  staff
• Improved access to oral health resources

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INDUCTION AT HMP SHOTTS

• Oral Health input by Health Promotion Officer at
  all Induction sessions
• Approx. 1 session per month
• Distribution of toothbrushing pack, prison oral
  health leaflet and methadone leaflet (when
  applicable)
• OUTCOME
• Sustainable oral health input routinely offered
  at Induction at HMP Shotts

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CREATING SUPPORTIVE ENVIRONMENT

• Increase awareness of healthy snacks and drinks
• Health Impact Assessment
• Healthy Working Lives
• OUTCOMES
• Implementation of policies supportive of oral
  health
• Improved oral health behaviours

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OUTCOMES

• Changes in knowledge and attitudes of oral health
• Increase in staff awareness of good oral health
  through HWL award
• Improved access to quality toothbrushes and
  palatable toothpaste
• Better access to healthier eating and snack
  options for prisoners
• Increased capacity of staff to deliver key oral
  health messages
• Prisoner and staff engagement in the project

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NATIONAL PRISON ORAL HEALTH IMPROVEMENT GROUP

• Tasked with taking forward the requirement that
  NHS Boards develop and deliver oral health
  improvement programmes for priority groups.
• Currently developing a baseline needs assessment
  and programme.
• Evaluation of this project and activities within
  other prisons will form the basis of the national
  oral health improvement programme for prisons

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Thank you for listening

• Stephanie Campbell
• Health Promotion Officer
• (Oral Health)
• Stephanie.Campbell_at_lanarkshire.scot.nhs.uk
• Stephanie.Campbell_at_sps.pnn.gov.uk